MR. Randall Gary Maddox, PT

NPI #1891907937 in Ukiah, California

Provider Information

NPI Number: 1891907937
Entity Type: Individual
Name: MR. Randall Gary Maddox, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 275 HOSPITAL DR
City: Ukiah
State: California
ZIP Code: 95482-4531
Phone: (707) 463-7346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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